Care Home: Kirkwood Care Home

What the care home does well The home is well managed and run in the best interests of the people who live there. The people who live at the home said they are very happy. They enjoy their meals and the activities and said the staff do what people want in the way people prefer. One relative said that overall the home provides an `excellent` service and another said the home is `very good indeed`. Both relatives said that they are very pleased with the care provided by the staff team. One relative said that the home considers people`s choice and dignity to be very important.The pre-admission assessments are thorough and make sure the home can meet people`s needs. The staff understand the needs and preferences of all the people who live at the home. People`s health is looked after and the staff have the skills and experience they need to do this. Everyone said that staff listen to them, and act on what they say. Visitors said they are always welcomed. The medicines administration procedures are generally safe and accurate. There is good and friendly interaction between the people who live at the home and the staff. There are enough staff on duty to make sure they have time to spend with people in conversation as well as supporting people to take part in individual and group activities. People said they enjoy their meals and there is an excellent choice of dishes. People are offered drinks throughout the day. The cook is aware of people`s dietary needs and preferences. The kitchen and the rest of the house is clean, safe and well maintained. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. What has improved since the last inspection? All the requirements we made at the last key inspection have been met. The care plans have a photograph of the individual; this helps new staff, especially as they get to know people. All the information in the care plans appeared to be accurate and reflect people`s needs. The staff rotas are now being completed in permanent ink. This would be important if it became necessary to verify which staff were on duty at a particular time. The registered provider is now completing monthly reports, confirming they have visited the home and carried out checks to make sure the home is being run well and in the best interests of the people who live there. What the care home could do better: The records of amounts received and in stock of the medicines supplied in their original packaging must recorded; at present there is no way of determining their accuracy. CARE HOMES FOR OLDER PEOPLE Kirkwood Care Home 35 Moorfield Road Ben Rhydding Ilkley West Yorkshire LS29 8BL Lead Inspector Liz Cuddington Key Unannounced Inspection 5th August 2008 11:10 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kirkwood Care Home Address 35 Moorfield Road Ben Rhydding Ilkley West Yorkshire LS29 8BL 01943 600653 01943 604144 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.thefranklyngroup.com The Franklyn Group Ltd Miss Sarah Joanne Brown Care Home 20 Category(ies) of Physical disability over 65 years of age (20) registration, with number of places Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2006 Brief Description of the Service: Kirkwood is a detached property standing in large well-tended gardens in Ben Rhydding, on the outskirts of Ilkley. It is situated close to the top of a quiet cul de sac and is indistinguishable from the other houses on the road. The driveway provides parking for several cars. A small parade of shops, including a post office, and the railway station are a short walk from the home. The home offers a comfortable environment for independently minded people and makes every effort to accommodate different tastes and interests. All the bedrooms are on the ground floor and all are single rooms; some have en suite facilities. National Vocational Qualification training for staff is ongoing, supplemented by a programme of general training covering a range of subjects relevant to the carer’s role. The current weekly charges range from £495.00 to £556.00. The fees include chiropody, newspapers, hairdressing and manicures. Additional charges are made for other personal expenses. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Kirkwood. The visit to the home was carried out over one day by one inspector. The last key inspection was in August 2006 and an Annual Service Review (ASR) was carried out earlier this year. Since the last key inspection no complaints or concerns have been made to us about the home. The methods used to gather information included conversations with the people living at the home, their relatives, healthcare professionals and the staff, as well as looking at care plans and examining other records. We received the home’s self-assessment questionnaire before the inspection visit. This gave us a lot of useful information about the home and helped us plan the visit. We would like to thank the people who live at the home, their relatives and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the service does well: The home is well managed and run in the best interests of the people who live there. The people who live at the home said they are very happy. They enjoy their meals and the activities and said the staff do what people want in the way people prefer. One relative said that overall the home provides an ‘excellent’ service and another said the home is ‘very good indeed’. Both relatives said that they are very pleased with the care provided by the staff team. One relative said that the home considers people’s choice and dignity to be very important. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 6 The pre-admission assessments are thorough and make sure the home can meet people’s needs. The staff understand the needs and preferences of all the people who live at the home. People’s health is looked after and the staff have the skills and experience they need to do this. Everyone said that staff listen to them, and act on what they say. Visitors said they are always welcomed. The medicines administration procedures are generally safe and accurate. There is good and friendly interaction between the people who live at the home and the staff. There are enough staff on duty to make sure they have time to spend with people in conversation as well as supporting people to take part in individual and group activities. People said they enjoy their meals and there is an excellent choice of dishes. People are offered drinks throughout the day. The cook is aware of people’s dietary needs and preferences. The kitchen and the rest of the house is clean, safe and well maintained. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. What has improved since the last inspection? What they could do better: Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 7 The records of amounts received and in stock of the medicines supplied in their original packaging must recorded; at present there is no way of determining their accuracy. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Standard 6 does not apply People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are admitted to the home, to make sure their needs can be met. EVIDENCE: People are given enough information about the home before deciding to move in, and they also receive a contract stating the type of room the person will have. Where possible the home encourages people and their families to visit and talk to the people who already live at the home and their relatives. The home invites them to come and spend time at the home, before reaching a decision. Some people also like to stay for a few days, or longer, to get a better idea of what it is like to live at Kirkwood. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 10 This means that the home can get to know the person’s needs and also the individual and their relatives have the information they need to help them make such an important decision. If this is not possible, a senior member of staff will visit people in their own home or in hospital to carry out an assessment and make sure the home can meet their needs before offering a place. The care plans included the pre-admission assessments completed by the home, and Social Services’ needs assessments where this applies. These assessments form the basis for the person’s individual plan of care and support. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal and healthcare needs are met. People are generally protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. EVIDENCE: People receive the personal and healthcare support they need and any concerns about people’s health are followed up. People said the care is good and the staff are kind and helpful. Relatives said they are very happy with the care the home provides and feel that the staff understand their relatives’ needs. One healthcare professional said they felt that people are well cared for. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 12 Three care plans were looked at, to make sure that people’s health and personal care needs are being met in the way each person prefers. The plans cover each area of the individual’s care needs. They all contain information to guide staff in how to care for and support each person. One healthcare professional said that the home works closely with them. They said staff are receptive to advice and will carry out their instructions. People said that staff are very good and understand their needs. They said staff do what people want, in the way they prefer and they are happy with the care they receive. People’s relatives also said that staff are caring and the care and support they provide is ‘very good’. One relative said that they believe people are ‘very well looked after’. The care plans are reviewed regularly and, where possible, the individuals and their families are involved in developing and reviewing their plans, although not all the plans have been signed to confirm that people and/or their relatives have been consulted. One relative confirmed that the home keeps her informed about any changes or significant occurrences. The medicines are kept safe and secure and the Medicines Administration Record (MAR) charts are securely stored. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some is kept in the original packaging. The MAR charts, which must show clearly the quantities of medicines received and in stock for each person, were examined. For additional security, the medicine trolley should be attached to the wall when not in use. The medicines supplied in the monitored dosage system appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered all the medicines as prescribed. The records of amounts received and in stock of the medicines supplied in their original packaging were not recorded, so there was no way of determining their accuracy. The amounts of all medicines received into the home must be recorded. A ‘brought forward’ system would also make it easier to check the quantities of medicines carried over from one record chart to the next, to confirm that administration is always accurate. During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented said that they receive the care they need and are supported to maintain their independence for as long as they are able. People’s relatives and visiting healthcare professionals confirmed this. Everyone said the staff listen and act on what they say. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 13 Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. EVIDENCE: Each person’s care plan includes a ‘life history’. This helps staff to get to know each individual and understand more about them. They also provide a guide for staff when planning activities. There is a range of activities for people to choose from, including a knitting group run by an external organiser which people said they enjoy. People take part in exercise classes, music for health and musical quizzes, also run by someone from outside the home. People said these sessions were good fun. People also enjoy fortnightly professional manicures. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 15 The home is starting to put together reminiscence books for each individual, with the help of people and their families. All the staff are involved in the day’s activities and there is a large collection of books, including many in large print, as well as newspapers and magazines for people to enjoy. Each month a senior member of staff puts together an attractive board, showing the activities that are planned. Some people said they enjoy sitting outside, when the weather is good enough. The home arranges trips out to local places of interest, as well as to places further afield. People said they always enjoy their meals. Everyone said they have a very good choice of dishes and the staff will always prepare something different if they do not want what is on the menu. The lunchtime menu offered an excellent choice for the main course and dessert. Everyone was offered a glass of wine with their lunch, or another drink of their choice. The meals looked very attractive and smelt good and the mealtimes were relaxed and sociable. People are offered hot and cold drinks throughout the day. There is a menu board in the entrance hall and the dining tables were beautifully laid with linen cloths and napkins. People’s relatives are invited to stay for a meal, if they wish. The staff explained how the menus are planned, to include the wishes of the people who live at the home and to meet any special dietary needs. There is a choice of five main courses and three desserts at lunchtime. At teatime there are hot and cold choices and home made cakes. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. EVIDENCE: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are recorded. Staff said they know what to do if anyone has concerns. The relatives said the home always or usually responds appropriately to any concerns. People said they know what to do if they have a concern or complaint. Newly employed staff are made aware of the home’s ‘whistle blowing’ policies and procedures, to be used if they suspect abuse or see examples of poor practice. All of the care staff have had adult protection training, and further refresher training is planned. All the appropriate policies and procedures are in place to guide staff. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 17 Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 25 & 26 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, comfortable, attractive and very well-maintained environment. EVIDENCE: The entrance to the house has colourful hanging baskets and tubs of flowers and there is a pleasant seating area to the side of the house. The gardens are very attractive, safe and well looked after and people said they enjoy sitting out or walking round them when the weather is good enough. The home has plans to improve the gardens further and is looking at ways of encouraging more people to get involved in gardening. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 19 When someone moves out of Kirkwood, the bedroom is re-decorated and new carpets are fitted. There is a programme for replacing furniture, pictures and soft furnishings. Since our last visit the hallways have been re-decorated and the bathrooms have had new tiles, carpets and have been freshly painted. One of the bathrooms is used for hairdressing and it is to have a hairdressing sink fitted. Someone is employed to keep up to date with the repairs and other jobs around the home, to keep it in good order. The home is very clean and fresh throughout. The laundry is clean and hygienic and a new washing machine with an integral sluice programme has recently been installed, along with a new tumble drier. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet people’s needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require to be able to meet people’s needs. EVIDENCE: The staff rotas, and people’s comments, confirmed our observations that there are enough staff on duty to meet people’s care, social and leisure needs. There are three care assistants and a senior care assistant on duty during the day and two waking staff during the night. The staff confirmed that staffing levels are adjusted to meet people’s needs. The home also employs a cook and a housekeeper. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. Staff have a copy of the terms and Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 21 conditions of their employment. The staff files are well organised and all the information needed was clear and easily available. The relatives and healthcare professionals all said they felt the staff know what they are doing. They said that staffing is consistent, with few staff leaving. All the staff said they enjoy working at Kirkwood and said the home supports them to take an NVQ award as well as other training relevant to their role. Five of the twelve care staff have completed a suitable National Vocational Qualification (NVQ) in care at level 2 and one is taking the award. Two staff are working towards the NVQ level 3 qualification, three staff already have this award and one is about to start an NVQ level 4 qualification. All new staff take induction training as well as the mandatory health and safety training courses. This gives them basic training to help them do their job effectively, and provides a sound basis for taking an NVQ course. Staff confirmed that they have plenty of training opportunities to support them in their roles. Staff said their training was relevant, helped them understand their role and kept them up to date. Currently all staff take the mandatory health and safety and adult protection training, and have regular refresher training to keep their knowledge and skills up to date. In addition staff training includes infection control, medicines administration, dementia care and the principles of care. Some staff are taking a distance learning course in palliative care through Park Lane College, Leeds. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and well managed, in the best interests of the people who live there. EVIDENCE: The manager has the necessary experience and qualifications to manage the home, in the best interests of the people who live there. The manager attends training to keep up her professional development and is currently taking the NVQ Assessors’ award. The records and the staff confirmed that all staff have regular one to one supervision meetings with their line manager. This supports staff to plan their Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 23 personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. All the staff said the manager is very supportive. People’s personal information is stored in locked cabinets when it is not being used. The home does not carry out any financial transactions on behalf of the people who live there. The home’s policies and procedures are kept up to date; to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The home’s kitchen has recently had an Environmental Health Officer’s inspection. The kitchen was awarded four stars out of a possible five. Since then the home has carried out the work needed to comply with the requirements. The laundry is well organised and people’s personal clothing, as well as their bedding and towels, are properly cared for. The home has a range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home and their relatives, meetings for people and their relatives, staff meetings and regular audit checks. The Operations Manager also carried out regular visits to the home and completes monthly quality reports. Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 3 X X X 4 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement For the safety of the people who live at the home, quantities of all medications received must be recorded and these records kept up to date when a new Medicines Administration Record chart is started. Timescale for action 31/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kirkwood Care Home DS0000030148.V370063.R02.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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